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Pquin/ San Joaquin County <br /> a. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: VILLAGE COFFEE SHOP INC,416 W LODI AVE, LODI 95240 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D True air--41.00°F 2D pie display cooler air--2D pie display cooler--52.00°F <br /> 2D Blue Air air--40.00°F 3-comp south--120.00°F <br /> cherry pie--2D pie display cooler--52.00°F brown gravy--steam table--150.00°F <br /> 2D Beverage Air air--38.00°F green beans in vinyl container--steam table--150.00°F <br /> 2D cooler prep table air--41.00°F cheese cake--2D pie display cooler--50.00°F <br /> jam--4D antique wooden cooler--41.00°F 3-comp north--126.00°F <br /> yellow gravy in vinyl container--steam table--135.00°F 4D antique wooden cooler air--Item Measurement <br /> Location Unit of Measurement Comment--47.00°F <br /> 1 D Norris air--38.00°F RR--108.00°F <br /> NOTES <br /> Submit evidence of correction of all remaining violations not corrected above before reinspection deadline to avoid a billable <br /> reinspection. jwong@sjcehd.com <br /> OIR emailed to thevillagecoffeeshopinc@gmail.com <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Julianna Jette, OWNER <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0001042 PRO160081 SCO01 06/01/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />